A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10...

BACKGROUND Continuous ambulatory peritoneal dialysis (CAPD) is widely accepted for the management of end-stage renal disease. Various techniques have been described for the insertion of peritoneal dialysis catheters. Lately, with the evolution of laparoscopic surgery, different laparoscopic techniques have also been presented, suggesting the technique is preferable to the open and percutaneous ...

OBJECTIVE To evaluate the evidence for fascial closure of 5-mm laparoscopic trocar sites. METHODS We conducted electronic database searches of PubMed and the Cochrane Library for articles published between November 2008 and December 2010. We used the keywords trocar hernia, trocar-site hernia, laparoscopic hernia, trocar port-site hernia, laparoscopic port-site hernia. Prospective and retrosp...

INTRODUCTION Natural orifice transluminal endoscopic surgery (NOTES) is a challenging minimally invasive procedure. Although laparoscopic techniques for liver resection are gaining acceptance worldwide, few studies have investigated NOTES liver resection. We used a porcine model to assess the feasibility and safety of transvaginal NOTES liver resection (TV NOTES LR). MATERIALS AND METHODS Nin...

We introduce a simple method of fixing trocars to the abdominal wall in children. Before anchoring the trocar, a piece of Tegaderm polyurethrane adhesive (3M Healthcare, St. Paul, Minnesota) is attached to the trocar. A silk stitch is anchored to neighboring skin, and then transfixed over the shaft of the trocar through the adhesive. Both inward and outward movement of the trocar can be restrai...

Abstract Aim The prevalence of Trocar site incisional hernia (TSIH) might be as high 30%, due to this reason is paramount find a better closure technique. Our aim test the TSIH preventive effect placement an onlay mesh versus standard fascial at umbilical trocar closure. Material&Methods We designed Two-Center Randomized Controlled Trial where adult participants presenting for elective lapa...

Submental intubation is an effective alternative technique for airway management in patients with maxillofacial trauma. Compared tracheostomy, it less invasive, but has risks associated potential compromise such as hypoxia due to tube obstruction, collapse, and kinking. To shorten procedure time ensure a reinforced lumen, we used laparoscopic trocar new device submental intubation. A 54-year-ol...

OBJECTIVE Safe and reliable access systems are crucial in laparoscopy, and trocar dislodgement is still a common and frustrating problem. Wall emphysema can occur besides the risky prolongation of the surgical procedure. Wall-anchoring components provide a better hold of the device. This comparative analysis assesses the frequency of dislodgement and a time-sparing effect on the intervention of...

OBJECTIVES To describe the surgical technique of robotic tubal anastomosis. METHODS Retrospective chart and video review of the instrumentation and methodology used for robotically assisted tubal anastomosis. RESULTS All tubal anastomoses were performed with the use of 3 or 4 robotic arms, 3 or 4 robotic instruments, and 1 assistant trocar. CONCLUSIONS Robotic technology facilitates the p...